Active NPIIndividual provider

Ms. Cheyenne A Tedesco, PA-C

Physician Assistant in Hamilton, New Jersey

NPI Number1972159689
Practice location
641 US Highway 130, Hamilton, NJ 08691-2101
Fax
—
Last updated
May 2, 2022

Cheyenne A Tedesco is a Physician Assistant based in Hamilton, NJ. Cheyenne A Tedesco practices in Hamilton, NJ and has the professional credentials of PA-C. The NPI Number for Cheyenne A Tedesco is 1972159689 and holds a License No. OA004938 (PA). The current practice location address for Cheyenne A Tedesco is 641 US Highway 130, Hamilton, NJ 08691-2101 and can be reached out via phone at 609-568-9383.

Provider Profile Details

NPI Number
1972159689
Provider Name
Cheyenne A Tedesco
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
641 US Highway 130, Hamilton, NJ 08691-2101
Phone Number
609-568-9383
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
August 18, 2019
Last Update Date
May 2, 2022
Certification Date
May 2, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
641 US Highway 130
Hamilton, NJ 08691-2101
Zip
08691-2101
Phone Number
609-568-9383
Hamilton, NJ 08691Get directions →

Provider Business Mailing Address Details

Address
5000 Cox RD
Glen Allen, VA 23060-9263
City
Glen Allen
State
VA
Zip
23060-9263
Phone Number
804-968-5700

License Information

License Number (1)
OA004938
License State (1)
PA
Taxonomy (1)
Family Medicine, Adult Medicine · 207QA0505X
License Number (2)
OA004938
License State (2)
PA
Taxonomy (2)
Physician Assistant · 363A00000X
License Number (3)
MA060823
License State (3)
PA
Taxonomy (3)
Physician Assistant · 363A00000X
License Number (4)
25MP00699800
License State (4)
NJ
Taxonomy (4)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physician Assistants near Hamilton, NJ

View all Physician Assistants in Hamilton →

Frequently Asked Questions

What is the NPI number of Ms. Cheyenne A Tedesco, PA-C?

The NPI number of Ms. Cheyenne A Tedesco, PA-C is 1972159689. It was assigned on August 18, 2019 and is currently active in the NPPES registry.

What is the specialty of Ms. Cheyenne A Tedesco, PA-C?

Ms. Cheyenne A Tedesco, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in PA under license number OA004938.

Where does Ms. Cheyenne A Tedesco, PA-C practice?

The practice location is 641 US Highway 130, Hamilton, NJ 08691-2101. The office can be reached at 609-568-9383 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972159689 directly on the NPPES registry website.

Browse related providers